Tibial neuromodulation in treatment of patients with idiopathic and neurogenic forms of faecal incontinence: P179


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Abstract

Aim:To estimate the efficiency of posterior tibial neuromodulation in treating patients with idiopathic and neurogenic forms of faecal incontinence.Method:Posterior tibial neuromodulation using a needle electrode was performed in six patients with idiopathic and neurogenic forms of faecal incontinence. Neuromodulation was performed for 30 min, 1-2 times a week. A course of treatment included 12-14 sessions of neuromodulation. Faecal incontinence severity, quality of life assessments and anorectal physiological work-up were studied before and after treatment.Results:After a course of posterior tibial neuromodulation subjective improvement occurred in five out of six (83.3%) patients. These patients showed improvement in the Wexner faecal incontinence score and the faecal incontinence quality of life scales. Also found were improvement in several physiological parameters; restingpressure, maximum squeezepressure, electrical activity of external anal sphincter and parameters of rectoanal inhibitory reflex.Conclusion:Our first experience of using posterior tibial neuromodulation for treatment of patients with idiopathic and neurogenic forms of faecal incontinence has shown its efficiency. It characterized the possibility of using thisprocedure for improvement of anal continence for this category of patients.

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